Impaired Fasting Glucose and Diabetes Are Related to Higher Risks of Complications and Mortality Among Patients With Coronavirus Disease 2019.
Identifieur interne : 000826 ( Main/Curation ); précédent : 000825; suivant : 000827Impaired Fasting Glucose and Diabetes Are Related to Higher Risks of Complications and Mortality Among Patients With Coronavirus Disease 2019.
Auteurs : Jiaoyue Zhang [République populaire de Chine] ; Wen Kong [République populaire de Chine] ; Pengfei Xia [République populaire de Chine] ; Ying Xu [République populaire de Chine] ; Li Li [République populaire de Chine] ; Qin Li [République populaire de Chine] ; Li Yang [République populaire de Chine] ; Qi Wei [République populaire de Chine] ; Hanyu Wang [République populaire de Chine] ; Huiqing Li [République populaire de Chine] ; Juan Zheng [République populaire de Chine] ; Hui Sun [République populaire de Chine] ; Wenfang Xia [République populaire de Chine] ; Geng Liu [République populaire de Chine] ; Xueyu Zhong [République populaire de Chine] ; Kangli Qiu [République populaire de Chine] ; Yan Li [République populaire de Chine] ; Han Wang [République populaire de Chine] ; Yuxiu Wang [République populaire de Chine] ; Xiaoli Song [République populaire de Chine] ; Hua Liu [République populaire de Chine] ; Si Xiong [République populaire de Chine] ; Yumei Liu [République populaire de Chine] ; Zhenhai Cui [République populaire de Chine] ; Yu Hu [République populaire de Chine] ; Lulu Chen [République populaire de Chine] ; An Pan [République populaire de Chine] ; Tianshu Zeng [République populaire de Chine]Source :
- Frontiers in endocrinology [ 1664-2392 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (isolement et purification), Chine (épidémiologie), Complications du diabète (mortalité), Complications du diabète (virologie), Complications du diabète (épidémiologie), Diabète (physiopathologie), Diabète (virologie), Facteurs de risque (MeSH), Femelle (MeSH), Glycémie (métabolisme), Hospitalisation (MeSH), Humains (MeSH), Hyperglycémie (complications), Hyperglycémie (virologie), Indice de gravité de la maladie (MeSH), Infections à coronavirus (complications), Infections à coronavirus (mortalité), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Intolérance au glucose (complications), Intolérance au glucose (virologie), Jeûne (MeSH), Mortalité hospitalière (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (mortalité), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Pronostic (MeSH), Sujet âgé (MeSH), Taux de survie (MeSH), Études de suivi (MeSH), Études rétrospectives (MeSH).
- MESH :
- isolement et purification : Betacoronavirus.
- mortalité : Complications du diabète, Infections à coronavirus, Pneumopathie virale.
- métabolisme : Glycémie, Hyperglycémie, Infections à coronavirus, Intolérance au glucose, Pneumopathie virale.
- physiopathologie : Diabète.
- virologie : Complications du diabète, Diabète, Hyperglycémie, Infections à coronavirus, Intolérance au glucose, Pneumopathie virale.
- épidémiologie : Chine, Complications du diabète, Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Hospitalisation, Humains, Indice de gravité de la maladie, Jeûne, Mortalité hospitalière, Mâle, Pandémies, Pronostic, Sujet âgé, Taux de survie, Études de suivi, Études rétrospectives.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (isolation & purification), Blood Glucose (metabolism), China (epidemiology), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Coronavirus Infections (mortality), Coronavirus Infections (virology), Diabetes Complications (epidemiology), Diabetes Complications (mortality), Diabetes Complications (virology), Diabetes Mellitus (physiopathology), Diabetes Mellitus (virology), Fasting (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Glucose Intolerance (complications), Glucose Intolerance (virology), Hospital Mortality (MeSH), Hospitalization (MeSH), Humans (MeSH), Hyperglycemia (complications), Hyperglycemia (virology), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Pneumonia, Viral (mortality), Pneumonia, Viral (virology), Prognosis (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Severity of Illness Index (MeSH), Survival Rate (MeSH).
- MESH :
- chemical , metabolism : Blood Glucose.
- geographic , epidemiology : China.
- complications : Coronavirus Infections, Glucose Intolerance, Hyperglycemia, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Diabetes Complications, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- mortality : Coronavirus Infections, Diabetes Complications, Pneumonia, Viral.
- physiopathology : Diabetes Mellitus.
- virology : Coronavirus Infections, Diabetes Complications, Diabetes Mellitus, Glucose Intolerance, Hyperglycemia, Pneumonia, Viral.
- Adult, Aged, Fasting, Female, Follow-Up Studies, Hospital Mortality, Hospitalization, Humans, Male, Middle Aged, Pandemics, Prognosis, Retrospective Studies, Risk Factors, Severity of Illness Index, Survival Rate.
Abstract
Background: Diabetes correlates with poor prognosis in patients with COVID-19, but very few studies have evaluated whether impaired fasting glucose (IFG) is also a risk factor for the poor outcomes of patients with COVID-19. Here we aimed to examine the associations between IFG and diabetes at admission with risks of complications and mortality among patients with COVID-19. Methods: In this multicenter retrospective cohort study, we enrolled 312 hospitalized patients with COVID-19 from 5 hospitals in Wuhan from Jan 1 to Mar 17, 2020. Clinical information, laboratory findings, complications, treatment regimens, and mortality status were collected. The associations between hyperglycemia and diabetes status at admission with primary composite end-point events (including mechanical ventilation, admission to intensive care unit, or death) were analyzed by Cox proportional hazards regression models. Results: The median age of the patients was 57 years (interquartile range 38-66), and 172 (55%) were women. At the time of hospital admission, 84 (27%) had diabetes (and 36 were new-diagnosed), 62 (20%) had IFG, and 166 (53%) had normal fasting glucose (NFG) levels. Compared to patients with NFG, patients with IFG and diabetes developed more primary composite end-point events (9 [5%], 11 [18%], 26 [31%]), including receiving mechanical ventilation (5 [3%], 6 [10%], 21 [25%]), and death (4 [2%], 9 [15%], 20 [24%]). Multivariable Cox regression analyses showed diabetes was associated increased risks of primary composite end-point events (hazard ratio 3.53; 95% confidence interval 1.48-8.40) and mortality (6.25; 1.91-20.45), and IFG was associated with an increased risk of mortality (4.11; 1.15-14.74), after adjusting for age, sex, hospitals and comorbidities. Conclusion: IFG and diabetes at admission were associated with higher risks of adverse outcomes among patients with COVID-19.
DOI: 10.3389/fendo.2020.00525
PubMed: 32754119
PubMed Central: PMC7365851
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
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<author><name sortKey="Xu, Ying" sort="Xu, Ying" uniqKey="Xu Y" first="Ying" last="Xu">Ying Xu</name>
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<author><name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name>
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<author><name sortKey="Li, Qin" sort="Li, Qin" uniqKey="Li Q" first="Qin" last="Li">Qin Li</name>
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<author><name sortKey="Yang, Li" sort="Yang, Li" uniqKey="Yang L" first="Li" last="Yang">Li Yang</name>
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<author><name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name>
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<author><name sortKey="Wang, Hanyu" sort="Wang, Hanyu" uniqKey="Wang H" first="Hanyu" last="Wang">Hanyu Wang</name>
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<author><name sortKey="Zheng, Juan" sort="Zheng, Juan" uniqKey="Zheng J" first="Juan" last="Zheng">Juan Zheng</name>
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<author><name sortKey="Sun, Hui" sort="Sun, Hui" uniqKey="Sun H" first="Hui" last="Sun">Hui Sun</name>
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<author><name sortKey="Xia, Wenfang" sort="Xia, Wenfang" uniqKey="Xia W" first="Wenfang" last="Xia">Wenfang Xia</name>
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<author><name sortKey="Liu, Geng" sort="Liu, Geng" uniqKey="Liu G" first="Geng" last="Liu">Geng Liu</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
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<author><name sortKey="Zhong, Xueyu" sort="Zhong, Xueyu" uniqKey="Zhong X" first="Xueyu" last="Zhong">Xueyu Zhong</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
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<author><name sortKey="Qiu, Kangli" sort="Qiu, Kangli" uniqKey="Qiu K" first="Kangli" last="Qiu">Kangli Qiu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
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<author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
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<author><name sortKey="Wang, Han" sort="Wang, Han" uniqKey="Wang H" first="Han" last="Wang">Han Wang</name>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Yuxiu" sort="Wang, Yuxiu" uniqKey="Wang Y" first="Yuxiu" last="Wang">Yuxiu Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Song, Xiaoli" sort="Song, Xiaoli" uniqKey="Song X" first="Xiaoli" last="Song">Xiaoli Song</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Hua" sort="Liu, Hua" uniqKey="Liu H" first="Hua" last="Liu">Hua Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xiong, Si" sort="Xiong, Si" uniqKey="Xiong S" first="Si" last="Xiong">Si Xiong</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Yumei" sort="Liu, Yumei" uniqKey="Liu Y" first="Yumei" last="Liu">Yumei Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cui, Zhenhai" sort="Cui, Zhenhai" uniqKey="Cui Z" first="Zhenhai" last="Cui">Zhenhai Cui</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Hu, Yu" sort="Hu, Yu" uniqKey="Hu Y" first="Yu" last="Hu">Yu Hu</name>
<affiliation wicri:level="1"><nlm:affiliation>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Clinical and Research Centre of Thrombosis and Haemostasis, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Clinical and Research Centre of Thrombosis and Haemostasis, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Chen, Lulu" sort="Chen, Lulu" uniqKey="Chen L" first="Lulu" last="Chen">Lulu Chen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Pan, An" sort="Pan, An" uniqKey="Pan A" first="An" last="Pan">An Pan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zeng, Tianshu" sort="Zeng, Tianshu" uniqKey="Zeng T" first="Tianshu" last="Zeng">Tianshu Zeng</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2020">2020</date>
<idno type="RBID">pubmed:32754119</idno>
<idno type="pmid">32754119</idno>
<idno type="doi">10.3389/fendo.2020.00525</idno>
<idno type="pmc">PMC7365851</idno>
<idno type="wicri:Area/Main/Corpus">000826</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000826</idno>
<idno type="wicri:Area/Main/Curation">000826</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000826</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Impaired Fasting Glucose and Diabetes Are Related to Higher Risks of Complications and Mortality Among Patients With Coronavirus Disease 2019.</title>
<author><name sortKey="Zhang, Jiaoyue" sort="Zhang, Jiaoyue" uniqKey="Zhang J" first="Jiaoyue" last="Zhang">Jiaoyue Zhang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Kong, Wen" sort="Kong, Wen" uniqKey="Kong W" first="Wen" last="Kong">Wen Kong</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xia, Pengfei" sort="Xia, Pengfei" uniqKey="Xia P" first="Pengfei" last="Xia">Pengfei Xia</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xu, Ying" sort="Xu, Ying" uniqKey="Xu Y" first="Ying" last="Xu">Ying Xu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Qin" sort="Li, Qin" uniqKey="Li Q" first="Qin" last="Li">Qin Li</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, General Hospital of the Yangtze River Shipping, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, General Hospital of the Yangtze River Shipping, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Yang, Li" sort="Yang, Li" uniqKey="Yang L" first="Li" last="Yang">Li Yang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Red Cross Hospital of Wuhan City, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Red Cross Hospital of Wuhan City, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Hanyu" sort="Wang, Hanyu" uniqKey="Wang H" first="Hanyu" last="Wang">Hanyu Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Huiqing" sort="Li, Huiqing" uniqKey="Li H" first="Huiqing" last="Li">Huiqing Li</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zheng, Juan" sort="Zheng, Juan" uniqKey="Zheng J" first="Juan" last="Zheng">Juan Zheng</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Sun, Hui" sort="Sun, Hui" uniqKey="Sun H" first="Hui" last="Sun">Hui Sun</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xia, Wenfang" sort="Xia, Wenfang" uniqKey="Xia W" first="Wenfang" last="Xia">Wenfang Xia</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Geng" sort="Liu, Geng" uniqKey="Liu G" first="Geng" last="Liu">Geng Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhong, Xueyu" sort="Zhong, Xueyu" uniqKey="Zhong X" first="Xueyu" last="Zhong">Xueyu Zhong</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Qiu, Kangli" sort="Qiu, Kangli" uniqKey="Qiu K" first="Kangli" last="Qiu">Kangli Qiu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Han" sort="Wang, Han" uniqKey="Wang H" first="Han" last="Wang">Han Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Yuxiu" sort="Wang, Yuxiu" uniqKey="Wang Y" first="Yuxiu" last="Wang">Yuxiu Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Song, Xiaoli" sort="Song, Xiaoli" uniqKey="Song X" first="Xiaoli" last="Song">Xiaoli Song</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Hua" sort="Liu, Hua" uniqKey="Liu H" first="Hua" last="Liu">Hua Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xiong, Si" sort="Xiong, Si" uniqKey="Xiong S" first="Si" last="Xiong">Si Xiong</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Yumei" sort="Liu, Yumei" uniqKey="Liu Y" first="Yumei" last="Liu">Yumei Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cui, Zhenhai" sort="Cui, Zhenhai" uniqKey="Cui Z" first="Zhenhai" last="Cui">Zhenhai Cui</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Hu, Yu" sort="Hu, Yu" uniqKey="Hu Y" first="Yu" last="Hu">Yu Hu</name>
<affiliation wicri:level="1"><nlm:affiliation>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Clinical and Research Centre of Thrombosis and Haemostasis, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Clinical and Research Centre of Thrombosis and Haemostasis, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Chen, Lulu" sort="Chen, Lulu" uniqKey="Chen L" first="Lulu" last="Chen">Lulu Chen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Pan, An" sort="Pan, An" uniqKey="Pan A" first="An" last="Pan">An Pan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zeng, Tianshu" sort="Zeng, Tianshu" uniqKey="Zeng T" first="Tianshu" last="Zeng">Tianshu Zeng</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Frontiers in endocrinology</title>
<idno type="ISSN">1664-2392</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>Blood Glucose (metabolism)</term>
<term>China (epidemiology)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (virology)</term>
<term>Diabetes Complications (epidemiology)</term>
<term>Diabetes Complications (mortality)</term>
<term>Diabetes Complications (virology)</term>
<term>Diabetes Mellitus (physiopathology)</term>
<term>Diabetes Mellitus (virology)</term>
<term>Fasting (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Glucose Intolerance (complications)</term>
<term>Glucose Intolerance (virology)</term>
<term>Hospital Mortality (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hyperglycemia (complications)</term>
<term>Hyperglycemia (virology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (mortality)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Prognosis (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Survival Rate (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Betacoronavirus (isolement et purification)</term>
<term>Chine (épidémiologie)</term>
<term>Complications du diabète (mortalité)</term>
<term>Complications du diabète (virologie)</term>
<term>Complications du diabète (épidémiologie)</term>
<term>Diabète (physiopathologie)</term>
<term>Diabète (virologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Glycémie (métabolisme)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hyperglycémie (complications)</term>
<term>Hyperglycémie (virologie)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (mortalité)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Intolérance au glucose (complications)</term>
<term>Intolérance au glucose (virologie)</term>
<term>Jeûne (MeSH)</term>
<term>Mortalité hospitalière (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (mortalité)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Pronostic (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Taux de survie (MeSH)</term>
<term>Études de suivi (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Blood Glucose</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>China</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Glucose Intolerance</term>
<term>Hyperglycemia</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Diabetes Complications</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term>
<term>Diabetes Complications</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Complications du diabète</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Glycémie</term>
<term>Hyperglycémie</term>
<term>Infections à coronavirus</term>
<term>Intolérance au glucose</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Diabète</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Complications du diabète</term>
<term>Diabète</term>
<term>Hyperglycémie</term>
<term>Infections à coronavirus</term>
<term>Intolérance au glucose</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Diabetes Complications</term>
<term>Diabetes Mellitus</term>
<term>Glucose Intolerance</term>
<term>Hyperglycemia</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Chine</term>
<term>Complications du diabète</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Fasting</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hospital Mortality</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Jeûne</term>
<term>Mortalité hospitalière</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pronostic</term>
<term>Sujet âgé</term>
<term>Taux de survie</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>République populaire de Chine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><b>Background:</b>
Diabetes correlates with poor prognosis in patients with COVID-19, but very few studies have evaluated whether impaired fasting glucose (IFG) is also a risk factor for the poor outcomes of patients with COVID-19. Here we aimed to examine the associations between IFG and diabetes at admission with risks of complications and mortality among patients with COVID-19. <b>Methods:</b>
In this multicenter retrospective cohort study, we enrolled 312 hospitalized patients with COVID-19 from 5 hospitals in Wuhan from Jan 1 to Mar 17, 2020. Clinical information, laboratory findings, complications, treatment regimens, and mortality status were collected. The associations between hyperglycemia and diabetes status at admission with primary composite end-point events (including mechanical ventilation, admission to intensive care unit, or death) were analyzed by Cox proportional hazards regression models. <b>Results:</b>
The median age of the patients was 57 years (interquartile range 38-66), and 172 (55%) were women. At the time of hospital admission, 84 (27%) had diabetes (and 36 were new-diagnosed), 62 (20%) had IFG, and 166 (53%) had normal fasting glucose (NFG) levels. Compared to patients with NFG, patients with IFG and diabetes developed more primary composite end-point events (9 [5%], 11 [18%], 26 [31%]), including receiving mechanical ventilation (5 [3%], 6 [10%], 21 [25%]), and death (4 [2%], 9 [15%], 20 [24%]). Multivariable Cox regression analyses showed diabetes was associated increased risks of primary composite end-point events (hazard ratio 3.53; 95% confidence interval 1.48-8.40) and mortality (6.25; 1.91-20.45), and IFG was associated with an increased risk of mortality (4.11; 1.15-14.74), after adjusting for age, sex, hospitals and comorbidities. <b>Conclusion:</b>
IFG and diabetes at admission were associated with higher risks of adverse outcomes among patients with COVID-19.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32754119</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>08</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1664-2392</ISSN>
<JournalIssue CitedMedium="Print"><Volume>11</Volume>
<PubDate><Year>2020</Year>
</PubDate>
</JournalIssue>
<Title>Frontiers in endocrinology</Title>
<ISOAbbreviation>Front Endocrinol (Lausanne)</ISOAbbreviation>
</Journal>
<ArticleTitle>Impaired Fasting Glucose and Diabetes Are Related to Higher Risks of Complications and Mortality Among Patients With Coronavirus Disease 2019.</ArticleTitle>
<Pagination><MedlinePgn>525</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3389/fendo.2020.00525</ELocationID>
<Abstract><AbstractText><b>Background:</b>
Diabetes correlates with poor prognosis in patients with COVID-19, but very few studies have evaluated whether impaired fasting glucose (IFG) is also a risk factor for the poor outcomes of patients with COVID-19. Here we aimed to examine the associations between IFG and diabetes at admission with risks of complications and mortality among patients with COVID-19. <b>Methods:</b>
In this multicenter retrospective cohort study, we enrolled 312 hospitalized patients with COVID-19 from 5 hospitals in Wuhan from Jan 1 to Mar 17, 2020. Clinical information, laboratory findings, complications, treatment regimens, and mortality status were collected. The associations between hyperglycemia and diabetes status at admission with primary composite end-point events (including mechanical ventilation, admission to intensive care unit, or death) were analyzed by Cox proportional hazards regression models. <b>Results:</b>
The median age of the patients was 57 years (interquartile range 38-66), and 172 (55%) were women. At the time of hospital admission, 84 (27%) had diabetes (and 36 were new-diagnosed), 62 (20%) had IFG, and 166 (53%) had normal fasting glucose (NFG) levels. Compared to patients with NFG, patients with IFG and diabetes developed more primary composite end-point events (9 [5%], 11 [18%], 26 [31%]), including receiving mechanical ventilation (5 [3%], 6 [10%], 21 [25%]), and death (4 [2%], 9 [15%], 20 [24%]). Multivariable Cox regression analyses showed diabetes was associated increased risks of primary composite end-point events (hazard ratio 3.53; 95% confidence interval 1.48-8.40) and mortality (6.25; 1.91-20.45), and IFG was associated with an increased risk of mortality (4.11; 1.15-14.74), after adjusting for age, sex, hospitals and comorbidities. <b>Conclusion:</b>
IFG and diabetes at admission were associated with higher risks of adverse outcomes among patients with COVID-19.</AbstractText>
<CopyrightInformation>Copyright © 2020 Zhang, Kong, Xia, Xu, Li, Li, Yang, Wei, Wang, Li, Zheng, Sun, Xia, Liu, Zhong, Qiu, Li, Wang, Wang, Song, Liu, Xiong, Liu, Cui, Hu, Chen, Pan and Zeng.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Jiaoyue</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kong</LastName>
<ForeName>Wen</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xia</LastName>
<ForeName>Pengfei</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xu</LastName>
<ForeName>Ying</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Li</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Qin</ForeName>
<Initials>Q</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, General Hospital of the Yangtze River Shipping, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yang</LastName>
<ForeName>Li</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wei</LastName>
<ForeName>Qi</ForeName>
<Initials>Q</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Red Cross Hospital of Wuhan City, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Hanyu</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Huiqing</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zheng</LastName>
<ForeName>Juan</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sun</LastName>
<ForeName>Hui</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xia</LastName>
<ForeName>Wenfang</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Geng</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhong</LastName>
<ForeName>Xueyu</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Qiu</LastName>
<ForeName>Kangli</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Li</LastName>
<ForeName>Yan</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Han</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Yuxiu</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Song</LastName>
<ForeName>Xiaoli</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Hua</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Xiong</LastName>
<ForeName>Si</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, The Fifth Hospital of Wuhan, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Yumei</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Hankou Hospital of Wuhan City, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cui</LastName>
<ForeName>Zhenhai</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hu</LastName>
<ForeName>Yu</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Clinical and Research Centre of Thrombosis and Haemostasis, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Lulu</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pan</LastName>
<ForeName>An</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zeng</LastName>
<ForeName>Tianshu</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>07</Month>
<Day>10</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Switzerland</Country>
<MedlineTA>Front Endocrinol (Lausanne)</MedlineTA>
<NlmUniqueID>101555782</NlmUniqueID>
<ISSNLinking>1664-2392</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D001786">Blood Glucose</NameOfSubstance>
</Chemical>
</ChemicalList>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N" Type="Geographic">China</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D048909" MajorTopicYN="N">Diabetes Complications</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005215" MajorTopicYN="N">Fasting</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018149" MajorTopicYN="N">Glucose Intolerance</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
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